| NPI | 1013123777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID HANACHI Orthodontist 704-865-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NC 6116) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-08-12 |